Another Group That is Falling Through the Cracks

Elena Portacolone (research gate photo)

We are used to hearing about vulnerable subsets of the American population who need a lot of help in taking care of themselves. Here's another one that numbers in the millions: [bold added]

]Sociologist Elena] Portacolone got to work and now leads the Living Alone With Cognitive Impairment Project at UCSF. The project estimates that that at least 4.3 million people 55 or older who have cognitive impairment or dementia live alone in the United States.

About half have trouble with daily activities such as bathing, eating, cooking, shopping, taking medications, and managing money, according to their research. But only 1 in 3 received help with at least one such activity.

Compared with other older adults who live by themselves, people living alone with cognitive impairment are older, more likely to be women, and disproportionately Black or Latino, with lower levels of education, wealth, and homeownership. Yet only 21% qualify for publicly funded programs such as Medicaid that pay for aides to provide services in the home.

Increased longevity is a societal good, but smaller families, that is, fewer relatives to check on a person, and the decline of churches and other community organizations have resulted in millions of aging, cognitively impaired adults falling through the cracks.